Management of Labral and Chondral Disease in Hip Preservation Surgery

Sports Med Arthrosc Rev. 2015 Dec;23(4):200-4. doi: 10.1097/JSA.0000000000000093.

Abstract

The techniques utilized for the management of articular cartilage and labrum injuries during hip preservation surgery have changed dramatically recently. Conservative treatment may involve image-guided injection of cortisone or viscosupplementation in conjunction with oral NSAIDs and physical therapy. Damage to the labrum runs a broad spectrum, and the treatments are individualized, but span from debridement to repair and reconstruction. The overarching goal of labral treatment is to restore the native functions of the labrum to allow for more normal biomechanical function. Similarly, cartilage injuries can be managed a number of different ways, including with debridement, microfracture or drilling, cartilage transplants, and higher level restorative techniques. These cartilage restoration techniques have evolved rapidly as well, and may include the use of scaffolds, allograft cartilage cells, and other stem-cell-related procedures.

Publication types

  • Review

MeSH terms

  • Acetabulum / injuries
  • Acetabulum / surgery
  • Adrenal Cortex Hormones / therapeutic use
  • Arthralgia / physiopathology
  • Arthralgia / therapy
  • Arthroscopy / methods*
  • Cartilage, Articular / injuries
  • Cartilage, Articular / surgery*
  • Debridement / methods
  • Exercise Therapy / methods
  • Female
  • Hip Injuries / diagnosis
  • Hip Injuries / therapy
  • Humans
  • Injections, Intra-Articular
  • Joint Capsule / injuries
  • Joint Capsule / surgery*
  • Male
  • Organ Sparing Treatments
  • Prognosis
  • Range of Motion, Articular / physiology*
  • Risk Assessment
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones